,i #aae? ,,congress #a/ ,session ,h4 ,r4 #chhj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #bh1 #bjag,mr4 ,pallone introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to au?orize & support ! creation & dissem9ation ( c>diomyopa?y education1 aw>5ess1 & risk assessm5t mat]ials & res\rces to id5tify m at-risk families1 to au?orize rese>* & surveillance activities relat+ to c>diomyopa?y1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,c>diomyopa?y ,heal? ,education1 ,aw>5ess1 ,rese>*1 & ,tra9+ 9 ! ,s*ools ,act ( #bjag or ! ,,he>ts ,act ( #bjag4 #b4 ,mat]ials & res\rces to increase education & aw>5ess ( c>diomyopa?y among s*ool adm9i/rators1 educators1 & families ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #cii,v-#g4 ,mat]ials & res\rces to increase education & aw>5ess ( c>diomyopa?y among s*ool adm9i/rators1 educators1 & families 7a7 ,mat]ials & res\rces ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y1 9 conjunction ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion 79 ?is section ref]r$ to z ! ,director7 %all develop public education mat]ials & res\rces to be dissem9at$ to s*ool adm9i/rators1 educators1 s*ool heal? pr(essionals1 coa*es1 families1 gu>dians1 c>egiv]s1 & o!r appropriate individuals4 ,! mat]ials & res\rces %all include-- 7#a7 backgr\nd in=mation to increase education & aw>5ess ( c>diomyopa?y among s*ool adm9i/rators1 educators1 & families2 7#b7 guidel9es reg>d+ ! placem5t ( automat$ ext]nal defibrillators 9 s*ools1 e>ly *ildhood education programs1 & *ild c>e c5t]s2 7#c7 tra9+ in=mation on automat$ ext]nal defibrillators & c>diopulmon>y resuscitation2 & 7#d7 recomm5dations = h[ s*ools1 e>ly *ildhood education programs1 & *ild c>e c5t]s c develop & implem5t a c>diac em]g5cy response plan4 7b7 ,dissem9ation ( mat]ials & res\rces ,n lat] ?an #cj mon?s aft] ! date ( ! enactm5t ( ?is section1 ! ,secret>y1 ?r\gh ! ,director1 %all dissem9ate ! mat]ials & res\rces develop$ "u subsection 7a7 9 accordance ) ! foll[+3 7#a7 ,di/ribution by ,/ate educational ag5cies ,! ,secret>y %all make available su* mat]ials & res\rces to ,/ate educational ag5cies to di/ribute-- 7,a7 to s*ool adm9i/rators1 educators1 s*ool heal? pr(essionals1 coa*es1 families1 gu>dians1 c>egiv]s1 & o!r appropriate individuals1 ! c>diomyopa?y education & aw>5ess mat]ials & res\rces develop$ "u subsection 7a77#a72 7,b7 to p>5ts1 gu>dians1 or o!r c>egiv]s1 ! risk assessm5t = individuals ) or at risk = c>diomyopa?y develop$ pursuant to section #cii,v-#h7;b77#a72 & 7,c7 to s*ool adm9i/rators1 educators1 s*ool heal? pr(essionals1 & coa*es-- 7i7 ! guidel9es describ$ 9 subsection 7a77#b72 7ii7 ! tra9+ in=mation describ$ 9 subsection 7a77#c72 & 7iii7 ! recomm5dations describ$ 9 subsection 7a77#d74 7#b7 ,dissem9ation to heal? dep>tm5ts & pr(essionals ,! ,secret>y %all make available ! mat]ials & res\rces develop$ "u subsection 7a7 to ,/ate & local heal? dep>tm5ts1 p$iatricians1 hospitals1 & o!r heal? pr(essionals1 su* z nurses & fir/ respond]s4 7#c7 ,po/+ on website 7,a7 ,,cdc 7i7 ,9 g5]al ,! ,secret>y1 ?r\gh ! ,director1 %all po/ ! mat]ials & res\rces develop$ "u subsection 7a7 on ! public ,int]net website ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7ii7 ,additional in=mation ,! ,director is enc\rag$ to ma9ta9 on su* public ,int]net website su* additional in=mation reg>d+ c>diomyopa?y z deem$ appropriate by ! ,director4 7,b7 ,/ate educational ag5cies ,/ate educational ag5cies are enc\rag$ to create public ,int]net webpages d$icat$ to c>diomyopa?y & po/ ! mat]ials & res\rces develop$ "u subsection 7a7 on su* webpages4 7c7 ,def9itions ,9 ?is section3 7#a7 ,! t]m s*ool adm9i/rator means a pr9cipal1 director1 manag]1 or o!r sup]visor or lead] )9 an elem5t>y s*ool1 second>y s*ool1 ,/ate-bas$ e>ly *ildhood education program1 or *ild c>e c5t]4 7#b7 ,! t]m s*ool heal? pr(essional means a heal? pr(essional s]v+ at an elem5t>y s*ool1 second>y s*ool1 ,/ate-bas$ e>ly *ildhood education program1 or *ild c>e c5t]4 7#c7 ,! t]ms e>ly *ildhood education program1 elem5t>y s*ool1 & second>y s*ool h ! mean+s giv5 to ^? t]ms 9 section #haja ( ! ,elem5t>y & ,second>y ,education ,act ( #aife4 7d7 ,au?orization ( appropriations ,= c>ry+ out ?is section & section #cii,v-#h1 !re is au?oriz$ to be appropriat$ #a1jjj1jjj = ea* ( fiscal ye>s #bjah ?r\gh #bjbb4 4 #c4 ,rese>* & surveillance activities relat+ to c>diomyopa?y 7a7 ,,cdc rese>* & surveillance ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq471 z am5d$ by section #b1 is fur!r am5d$ by add+ at ! end ! foll[+ new section3 #cii,v-#h4 ,rese>* & surveillance activities relat+ to c>diomyopa?y 7a7 ,reports on ,,cdc national c>diomyopa?y surveillance rese>* activities 7#a7 ,initial report ,n lat] ?an ,janu>y #a1 #bjbj1 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all submit to ,congress an initial report on f9d+s & data g5]at$ f surveillance & rese>* activities conduct$ by ! ,c5t]s = ,disease ,control & ,prev5tion to improve ! und]/&+ ( ! preval5ce & epidemiology ( c>diomyopa?y across ! lifespan1 f bir? to adul?ood1 ) p>ticul> int]e/ 9 ! foll[+3 7,a7 ,! heal? c>e co/s1 utilization1 & natural hi/ory ( individuals ) c>diomyopa?y1 9 bo? ! p$iatric & adult population4 7,b7 ,! numb] ( adults & *ildr5 affect$ by c>diomyopa?y1 z well z age-specific mortality4 7#b7 ,f9al report ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all submit to ,congress a f9al report on ! cont5t describ$ 9 p>agraph 7#a74 7#c7 ,public access ,subject to p>agraph 7#d71 ! reports submitt$ "u ?is subsection %all be made available to ! public4 7#d7 ,pati5t privacy ,! ,secret>y %all ensure t ?is subsection is c>ri$ out 9 a mann] t complies ) ! requirem5ts applicable to a cov]$ entity "u ! regulations promulgat$ pursuant to section #bfd7;c7 ( ! ,heal? ,insurance ,portability & ,acc\ntability ,act ( #aiif4 7b7 ,improv+ risk assessm5ts = individuals ) c>diomyopa?y 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all develop & make publicly available a risk assessm5t = individuals ) or at risk = c>diomyopa?y4 ,su* risk assessm5t %all1 at a m9imum1 include ! foll[+3 7,a7 ,backgr\nd in=mation ( ! preval5ce1 incid5ce1 & heal? impact ( c>diomyopa?y1 includ+ all =ms ( c>diomyopa?y & _! effects on p$iatric1 adolesc5t1 & adult individuals4 7,b7 ,a work%eet ) v>iables & conditions = an individual or heal? c>e provid] to use 9 assess+ :e!r ! individual is at risk = c>diomyopa?y4 7,c7 ,a work%eet ) v>iables & /ages ( progression = an individual or heal? c>e provid] to use 9 assess+ :e!r & to :at ext5t c>diomyopa?y has progress$ 9 ! individual4 7,d7 ,guidel9es on c>diomyopa?y scre5+s = individuals :o are at risk =1 or h a family hi/ory (1 c>diomyopa?y4 7#b7 ,/akehold] ,input ,9 c>ry+ out p>agraph 7#a71 ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion %all seek input f ext]nal /akehold]s includ+-- 7,a7 repres5tatives f national pati5t advocacy organizations exp]t 9 all =ms ( c>diomyopa?y2 7,b7 repres5tatives f m$ical pr(essional societies t specialize 9 ! c>e ( adults & p$iatrics ) c>diomyopa?y2 & 7,c7 repres5tatives f o!r relevant ,f$]al ag5cies4 7c7 ,c>diomyopa?y def9$ ,= purposes ( ?is section1 ! t]m c>diomyopa?y means a he>t disease t affects ! he>t's muscle 7myoc>dium7-- 7#a7 ! symptoms ( :i* may v>y f case to case1 includ+-- 7,a7 cases 9 :i* no symptoms are pres5t 7asymptomatic72 & 7,b7 cases 9 :i* !re are symptoms ( a progressive condition t may result f an impair$ ability ( ! he>t to pump blood1 su* z fatigue1 irregul> he>tbeats 7arrhy?mia71 he>t failure1 &1 pot5tially1 sudd5 c>diac dea?2 & 7#b7 ! recogniz$ types ( :i* include dilat$1 hyp]trophic1 re/rictive1 arrhy?mog5ic "r v5tricul> dysplasia1 & left v5tricul> non-compaction4 4 7b7 ,,nih rese>* ,"p ,a ( title ,,iv ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bha et seq47 is am5d$ by ins]t+ aft] section #djd;,e ! foll[+ new section3 #djd;,f4 ,c>diomyopa?y rese>* 7a7 ,9 g5]al ,! ,director ( ,,nih may exp&1 int5sify1 & coord9ate rese>* & relat$ activities ( ! ,national ,in/itutes ( ,heal? ) respect to c>diomyopa?y1 :i* may include rese>* ) respect to-- 7#a7 causation ( c>diomyopa?y1 includ+ g5etic causes & molecul> biom>k]s2 7#b7 long-t]m heal? outcomes 9 individuals ) c>diomyopa?y1 includ+ infants1 *ildr51 te5ag]s1 adults1 & eld]ly individuals2 & 7#c7 /udies us+ longitud9al data & retrospective analysis to id5tify effective treatm5ts & outcomes = individuals ) c>diomyopa?y4 7b7 ,c>diomyopa?y def9$ ,= purposes ( ?is section1 ! t]m c>diomyopa?y means a he>t disease t affects ! he>t's muscle 7myoc>dium7-- 7#a7 ! symptoms ( :i* may v>y f case to case1 includ+-- 7,a7 cases 9 :i* no symptoms are pres5t 7asymptomatic72 & 7,b7 cases 9 :i* !re are symptoms ( a progressive condition t may result f an impair$ ability ( ! he>t to pump blood1 su* z fatigue1 irregul> he>tbeats 7arrhy?mia71 he>t failure1 &1 pot5tially1 sudd5 c>diac dea?2 & 7#b7 ! recogniz$ types ( :i* include dilat$1 hyp]trophic1 re/rictive1 arrhy?mog5ic "r v5tricul> dysplasia1 & left v5tricul> non-compaction4 4 7c7 ,,nih report ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,director ( ! ,national ,in/itutes ( ,heal? %all submit to ,congress a report-- 7#a7 outl9+ ! ongo+ rese>* ef=ts ( ! ,national ,in/itutes ( ,heal? reg>d+ c>diomyopa?y2 & 7#b7 id5tify+-- 7,a7 a rese>* ag5da reg>d+ adult =ms ( c>diomyopa?y2 7,b7 plans = rese>*+ c>diomyopa?y affect+ ! p$iatric population2 & 7,c7 ! areas ( greate/ ne$ = su* rese>*4